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General NPI Number Information
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NPI Number | 1922206010
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Entity Type | Individual
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Provider Name | MEHR AMJAD KHAN MD
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Gender | Female
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 231 SEASONS RD SUITE 200
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City | HUDSON
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State | OH
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Zip | 44224
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Country | US
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Telephone | 330-650-5110
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Fax | 330-650-5115
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Provider Business Mailing Address
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Address Line | 231 SEASONS RD SUITE 200
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City | HUDSON
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State | OH
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Zip | 44224
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Country | US
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Telephone | 330-650-5110
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Fax | 330-650-5115
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 35.128.273
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License Number State | OH
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